Tommy Ray Henderson

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

2227 S Garnett Rd Ste 109
Tulsa, OK 74129-5115

Phone

(918) 470-9605

NPI assigned

Oct 9, 2021

Last updated

Oct 9, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1633737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633737600000",
    "number": "1659033421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2227 S GARNETT RD STE 109",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741295115",
            "telephone_number": "918-470-9605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2227 S GARNETT RD STE 109",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741295115",
            "telephone_number": "918-470-9605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "TOMMY",
        "middle_name": "RAY",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-10-09",
        "last_updated": "2021-10-09",
        "certification_date": "2021-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Percy Anderson Henderson Jr., MASTERS IN PSYCHOLOG
• Rachel Henderson, OTR/L
• Shereca Henderson, APRN
• Tanna Henderson
• Tawnya Denise Henderson
• Vernezeia Henderson
• Yurim Jung Henderson
• Kerry Hendren
• Ryan Lane Hendren, M.D.
• Freddie Hendreson, LPC

• Behavior Analyst in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Behavior Analyst in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.